- Apex Health Solutions (Houston, TX)
- …health, delivering high quality, affordable care in a modern, patient focused approach. The EDI Systems Analyst is responsible for ensuring EDI transmissions ... objectives. Essential Functions * Design, develop and implement X12 EDI solutions for healthcare transactions such as claims...* Minimum 3+ years of experience working as an EDI Systems Analyst in a technical environment… more
- CareOregon (Portland, OR)
- …Exempt Department Business Intelligence Manager Title Director, Claims Systems and Electronic Data Interchange Direct Reports EDI Development Team ... team. Essential Responsibilities Operational Planning and Oversight + Participate in long-term EDI systems architecture planning. + Create systems … more
- Techtronic Industries North America, Inc. (Milwaukee, WI)
- …Responsibilities** : + Serves as liaison between Information Technology development staff, EDI Managed Services, systems analysts, business subject matter ... distributors, customers and 3rd party vendors to implement new EDI business processes and coordinate enhancements to... standards. + Leverage EDI knowledge in claims , payment, eligibility, and financial systems in… more
- Kohler Co. (Kohler, WI)
- …our customers using EDI . This associate will be responsible for managing the business side of the EDI functions between Kohler Co. and the customer, driving ... **Senior Analyst, EDI ** _Work Mode: Hybrid_ **Location:** Hybrid at Kohler,...SAP experience with order entry, quotes, order management, pricing, warranty/ claims , deductions, and shipping + Able to communicate effectively… more
- Sedgwick (Orlando, FL)
- …their employees regain health and productivity, guide their consumers through the claims process, protect their brand and minimize business interruptions. Our ... Work(R) Most Loved Workplace(R) Forbes Best-in-State Employer Medical Data Reporting / EDI Application Developer **PRIMARY PURPOSE** : To design and maintain robust,… more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …and inclusive team environment. + Healthcare experience working with EDI transactions (Eligibility, Claims , enrollment, authorization etc) preferred. ... developed software. + Maintains high-level of familiarity with BCBSMA IT system/ business application capabilities to make critical operational & design decisions. +… more
- UCLA Health (Los Angeles, CA)
- …team, you will be instrumental in maintaining and running processes/jobs for electronic claims and other EDI transactions. This will involve working with ... seeking a self-motivated, detail-oriented, customer-focused leader with: * Bachelor's degree in business , information systems , healthcare, or a related field, or… more
- LogixHealth (Bedford, MA)
- …management services, offering a complete range of solutions, including coding and claims management and the latest business intelligence reporting dashboards for ... Location: On-Site in Bedford, MA This Role: As a Senior Integration Analyst in EDI at LogixHealth, you will work with internal teams to provide services that will… more
- LA Care Health Plan (Los Angeles, CA)
- …and propose solutions which incorporate technology and people solutions. Address business inefficiencies; systems and otherwise. Develop goals, objectives and ... Manager, Claims Data Operations Job Category: Claims ...leads and manages the Technical Project Analysts and the Business Analysts in the completion of day-to-day operations. The… more
- Dignity Health (Bakersfield, CA)
- …coursework including, but not limited to, database modeling, design, and querying, business information systems , business statistics, e-commerce systems ... management service organization structure. We offer a menu of management and business services that will leverage economies of scale across provider types and… more
- Elevance Health (Houston, TX)
- …a check, or ask you for payment as part of consideration for employment. **Mgr Business Systems Implementation (US)** + Job Family: BSP > Business Support ... 50 miles of one of our Elevance Health locations.** The Manager Business Systems Implementation is responsible for overseeing the development, implementation,… more
- LA Care Health Plan (Los Angeles, CA)
- …Program Manager II (Limited Duration- 12 months)) Job Category: Administrative, HR, Business Professionals Department: Claims Data and Support Services Location: ... for Enterprise Shares Services and is a subject matter expert in EDI and Claims transactions. Works collaboratively with Information Technology leadership… more
- Commonwealth Care Alliance (Boston, MA)
- …with CCA's Ancillary Services and Pharmacy Operations to identify and define business needs that require technology solutions to achieve business outcomes. ... ensures that IT solutions are best-in-class and align to CCA's IT and Business strategies. The portfolio manager directs FTEs, contractors, and IT vendors to… more
- Navy Exchange Services (NEX) (Virginia Beach, VA)
- …partners with the merchandising group to grow Electronic Data Interchange ( EDI ) vendors thereby leveraging automated payment processing and enhancing department ... ensuring correct accruals are posted. - Responsible for integration issues between financial systems and the merchandise point of sale, inventory control and other … more
- Blue Cross Blue Shield of Massachusetts (Boston, MA)
- …legacy applications and re-design of monolithic apps. + Understanding of EDI transactions (Eligibility, Claims , enrollment, authorization etc), standards (X12, ... both on-premises and cloud technology stacks with a focus on API/ EDI /EDA integration. Your unwavering commitment to troubleshooting and problem-solving excellence… more
- HUB International (Metairie, LA)
- …as necessary across the team. + Build and maintain Electronic Data Interchange ( EDI ) files as deemed appropriate, to meet business objectives. **REQUIREMENTS:** ... integration, regression, and acceptance test plans. + Establish electronic data interchange ( EDI ) files when appropriate. + Maintain a thorough understanding of all… more
- Waystar (Louisville, KY)
- **ABOUT THIS POSITION** Function as an Analyst, Claim Data Integrity for EDI rejections with Waystar client support, trading partners and intermediaries. Analyst ... with multiple Waystar departments to limit the number of claims that are rejected by payers and intermediaries. **WHAT...owner is provided with a reasonable update every two business days on the case progress + Contact intermediaries… more
- Belcan (Naples, FL)
- …standard business application software and specialized purchasing and/or materials systems (eg electronic data interface ( EDI ) or manufacturing resource ... and evaluate them as to production capability, performance, delivery, and other key business criteria. * May support or lead supplier certification surveys as part… more
- Trinity Health (Chelsea, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more
- Trinity Health (Howell, MI)
- …for the purpose of establishing the patient and service specific record for claims processing and maintenance of an accurate electronic medical record. Registers and ... information system(s), to ensure accurate and timely submission of claims . Determines visit-specific co-payments and collects out-of-pocket liabilities. Assists… more